CONTACTS
SUBJECTS
VA EGD Procedure on 141107 Stricture Lower Esophageal Sphincter Valv
1403 -
1403 - ..
1404 - Summary/Objective
1405 -
140501 - Follow up ref SDS 38 0000. ref SDS 37 0000.
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140503 -
140504 -
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140506 -
140508 - ..
1406 -
1407 -
1408 - Background
1409 -
140901 - Progress Notes have been missing longer than 4 months, from the VA
140902 - computer that stores patient medical records, for the EGD procedure on
140903 - 141107 0800. ref SDS 28 SY6M Last night checked again and found they
140904 - are still missing, despite notice to the doctor on 141125 0942.
140905 - ref SDS 29 OL6F
140907 - ..
140908 - On 150116 0813 met with Jessica at GI Clinic VA Medical Center in
140909 - Sacramento, she has notified Doctor Lee that Progress Notes are
140910 - missing for EGD Dilation on 141107, ref SDS 32 MX5I; later that day at
140911 - 0922 Doctor Lee called and left voicemail message that his Progress
140912 - Notes for the EGD Dilation procedure on 141107, are missing from VA
140913 - medical records computer system; he further said the missing Progresss
140914 - Notes can be restored by scanning another source; he will have the
140915 - records restored and submit notice to the patient when his Progress
140916 - Notes can be downloaded using the Internet to access the VA computer
140917 - system. ref SDS 31 ZX6I
140919 - ..
140920 - On 150116 0813 at 0922 Doctor Lee called and left voicemail message
140921 - that his Progress Notes for the EGD Dilation procedure on 141107, are
140922 - missing from VA medical records computer system; he further said the
140923 - missing Progresss Notes can be restored from scanning another source;
140924 - he will have the records restored and submit notice to the patient
140925 - when his Progress Notes can be downloaded using the Internet to access
140926 - the VA computer system. ref SDS 31 ZX6I
140928 - ..
140929 - On 150120 1636 letter to Doctor Lee confirms understandings meeting
140930 - with Jessica on 150116, and voicemail message from Doctor Lee later on
140931 - 150116, saying he will post Progress Notes for EGD Dilation procedure
140932 - on 141107. ref SDS 33 VE95
140934 - ..
140935 - On 150130 1609 called and left message for Jessica to follow up again
140936 - with Doctor Lee to post Progress Notes for EDG Dilation procedure at
140937 - VA Sacramento Medical Center on 141107. ref SDS 34 MX5I
140939 - ..
140940 - On 150211 1239 called EGD Department VA in Sacramento and talked to
140941 - Jennifer; she coordinated with Jessica and recommended scheduling
140942 - meeting with Doctor Lee on preparing Progress Notes, ref SDS 36 6J9L,
140943 - for the meeting with the doctor to perform EGD dilation procedure on
140944 - 141107. ref SDS 28 K37G
140945 -
140946 -
140948 - ..
1410 -
1411 -
1412 - Progress
1413 -
141301 - Letter to Doctor Lee at VA Medical Center in Sacramento saying...
141302 -
141303 -
141304 - 1. Referral to Doctor Stewart Repair Fundollication and CT Test
141314 - ..
141315 - 2. Very productive meeting last week on 150319, in your office at
141316 - the Sacramento Medical Center. Please comment if needed on the
141317 - record of understandings. ref SDS 38 0M6I
141319 - ..
141320 - 3. Your Progress Notes for the meeting on 141107, presented with
141321 - the VA transmittal letter on 150318, support comprehensive care
141322 - through doctor patient partnership, as we discussed during the
141323 - meeting the next day on 150319.
141325 - ..
141326 - 4. Thanks for scheduling EGD dilation procedure next month on
141327 - 150421 1300.
141329 - ..
141330 - 5. Several action items resulted from meeting on 150319...
141331 -
141332 - 1. Order CT test to evaluate esophagus for recurrence of
141333 - achalasia "bird beak" (i.e., bulge), which was shown to be
141334 - fully resolved by CT test 2 years ago on 130117, following
141335 - Heller Myotomy surgery by Doctor Stewart on 091216, and
141336 - subsequent repeated dilation procedures in your clinic with
141337 - triamcinolone injections on 5 - 6 month intervals.
141338 - Triamcinolone injection was omitted for the 140509, EGD
141339 - dilation procedure, and in order to evaluate progress
141340 - toward normal LESV function. Increased vomiting reported
141341 - to the VA showed triamcinolone steroid injections are still
141342 - required, further shown by 100% increase from 1.5 to 3 mm
141343 - LESV contraction found during the dilation procedure on
141344 - 141107. CT barium swallow test will assess esophagus
141345 - response to treatment over the past 6 months adding
141346 - triamcinolone, as previously shown in the test on 130117,
141347 - i.e., has the patient recovered? ref SDS 38 J24M
141349 - ..
141350 - 2. Consider Doctor Stewart order CT test on esophagus in order
141351 - to combine with coronary CTA assessment for response to
141352 - treatment hiking 300 miles per month to regress
141353 - atherosclerotic plaques, under care by Doctor Alba and more
141354 - recently Doctor Rao. Doctor Stewart may be able to
141355 - collaborate with Doctor Tseng, attending physician for CABG
141356 - +4 on 091022, and now Chief of Surgery at the VA Medical
141357 - Center and at UCSF Medical Center. Coronary CTA with
141358 - calcium score evaluates response to treatment with CABG +4
141359 - combined with hiking 8,500 miles over past 4 years that
141360 - reduces risk of CVD. ref SDS 38 GB56
141362 - ..
141363 - 3. Research you requested is listed in the record of the
141364 - meeting on 150319. ref SDS 38 HQ4F
141366 - ..
141367 - 4. Fundoplication surgical repair can be discussed on referral
141368 - with Doctor Stewart at the VA Medical Center in San
141369 - Francisco, based on your findings, during the procedure on
141370 - 141107, ref SDS 28 QD6O, with photographs showing
141371 - fundoplication has failed, since original surgery on
141372 - 091216, now causing ulceration and increased contraction of
141373 - LESV with rising swallowing problems, as discussed last
141374 - week during the meeting on 150319. ref SDS 38 TB5I
141376 - ..
141377 - 6. Again, thanks very much for a great meeting last Thursday.
141378 - Look forward to seeing the GI team on 150421.
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